LANCE MANTY APRN, CRNA
NPI 1104214428
Nurse Anesthetist, Certified Registered in Virginia, MN
About Lance Manty Aprn, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LANCE MANTY APRN, CRNA (NPI 1104214428) is an individual nurse anesthetist, certified registered in Virginia, Minnesota, licensed in Minnesota (R196774-4) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Northfield Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lance Manty Aprn, Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Lance Manty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cambridge, MN 55008
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Minneapolis, MN 55487
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Farmington, MN 55024
- Reassigned Medicare billing, Minnesota enrollment
- 249 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northfield Hospital
Acute Care Hospitals · Northfield, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIRGINIA, MN 55792
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lance Manty's NPI number?
The NPI number for Lance Manty is 1104214428. It was assigned to this individual provider in the NPPES registry on January 9, 2015.
Where is Lance Manty located?
Lance Manty practices at 1101 9th St N Essentia Health Virginia Clinic, Virginia, MN 55792. The listed phone number is (218) 741-0150.
What is Lance Manty's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lance Manty enrolled in Medicare?
Yes. Lance Manty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lance Manty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lance Manty reassigns Medicare benefits to 3 organizations: Allina Health System (Cambridge, MN), Hennepin Healthcare System, Inc (Minneapolis, MN) and Northfield Hospital (Farmington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lance Manty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lance Manty affiliated with any hospitals?
According to CMS data, Lance Manty is affiliated with Northfield Hospital.
When was this NPI record last updated?
The NPPES record for Lance Manty was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lance Manty, APRN, CRNA · NPI 1104214428
Nurse Anesthetist, Certified Registered physician in Virginia, Minnesota. Individual provider, active in the CMS NPPES registry since January 9, 2015.
## Identity
- **NPI:** 1104214428 (Entity type: Individual)
- **Enumerated:** January 9, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R196774-4 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 9TH ST N, ESSENTIA HEALTH VIRGINIA CLINIC, Virginia, MN 55792-2329
- **Phone:** (218) 741-0150
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1013194729, Cambridge, MN); Hennepin Healthcare System, Inc (NPI 1528361573, Minneapolis, MN); Northfield Hospital (NPI 1336934108, Farmington, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 2, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1104214428) · Data from the CMS NPPES public registry.